Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ksl Dental Group Inc

Organization Dentist · NPI 1033592241

Ksl Dental Group Inc provides Dentist services in Ontario, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

815 W Holt Blvd Ste 402
Ontario, CA 91762-3681
Phone: (972) 746-0881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 47881 (CA)
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1033592241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nevein Amer — President/Owner · (972) 746-0881
Other names Fresh Leaf Dental
NPI enumeratedJuly 7, 2015
Last updated in NPPESDecember 6, 2022
Certification dateNovember 29, 2022
Mailing address815 W Holt Blvd Ste 402, Ontario, CA 91762-3681

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